Michelle Hornbaker-park, MD - Medicare Psychiatry & Neurology in Fort Campbell, KY

Michelle Hornbaker-park, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fort Campbell, Kentucky. Her current practice location is 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 798-8106.

Michelle Hornbaker-park is licensed to practice in Tennessee (license number 55237) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265673263.

Contact Information

Michelle Hornbaker-park, MD
650 Joel Dr, Blanchfield Army Community Hospital,
Fort Campbell, KY 42223
(270) 798-8106
Not Available



Physician's Profile

Full NameMichelle Hornbaker-park
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265673263
  • Provider Enumeration Date: 03/20/2009
  • Last Update Date: 06/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2961743844
  • Enrollment ID: I20221020000238

Medical Identifiers

Medical identifiers for Michelle Hornbaker-park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265673263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 55237 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Hornbaker-park allows following entities to bill medicare on her behalf.
Entity NameMccd Psychiatry Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033750823
PECOS PAC ID: 4082049036
Enrollment ID: O20220727001459

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Entity NameMccd Fl Psychiatry Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659003457
PECOS PAC ID: 4880064070
Enrollment ID: O20230123000950

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Hornbaker-park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michelle Hornbaker-park, MD
650 Joel Dr, Blanchfield Army Community Hospital,
Fort Campbell, KY 42223-5318

Ph: (270) 412-3247
Michelle Hornbaker-park, MD
650 Joel Dr, Blanchfield Army Community Hospital,
Fort Campbell, KY 42223

Ph: (270) 798-8106

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› Verified 6 days ago


Psychiatry & Neurology Doctors in Fort Campbell, KY

Dr. Balakrishna Mohan Rao, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-5931    
Dr. John Fernando Chaves, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Dr. Bret W. Logan, M.D, PLC
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223
Phone: 270-798-8372    Fax: 270-956-0180
Dr. Christopher Lee Lange, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-956-0522    
Dr. Samuel Fam, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 318-680-6607    
Ms. Dominique Starr Crosby Holley, D. O
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 301-295-4611    

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